Active NPI
Sam Saunders, AMFT
- Mental Health Counselor
- Palo Alto, CA
National Provider Identifier
1679143325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 117771
- Practice address
- 298 San Antonio Road
Palo Alto, CA 94040-9404 - Phone
- (650) 446-4900
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 117771 | CA | Primary |
Addresses
Primary practice location
298 San Antonio Road
Palo Alto, CA 94040-9404
Mailing address
298 San Antonio Road
Palo Alto, CA 94040
Phone (650) 446-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | california@hallowelltodaro.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117771 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1679143325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 SAN ANTONIO ROAD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-446-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 SAN ANTONIO ROAD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "940409404",
"telephone_number": "650-446-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "SAM",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "117771",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "california@hallowelltodaro.com",
"affiliation": "N",
"address_1": "298 San Antonio Road",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "940409404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.